Thank you for your interest in joining our dynamic planning team for Peerpocalpyse 2018! To be considered, please fill out the application below to participate in the decision making process for next year’s conference. We have implemented an application process in the hopes of drawing a diverse group of applicants representing many communities, cultures, age groups and experience.
Applications are due by August 31, 2017. Email completed applications to: .
Peerpocalypse CONFERENCE planning committee Application
/Applicant Information
Name: Click here to enter text.Current address: Click here to enter text.
City: Click here to enter text. / State: Click here to enter text. / ZIP Code: Click here to enter text.
Phone Number: Click here to enter text. / Email: Click here to enter text. / Preferred method of contact:
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Age: Click here to enter text. / Organization: Click here to enter text.
application questions
Tell us about what expertise you can bring to the team:Click here to enter text.
Which committee are you most interested in?
☐ Marketing and Community Building ☐ Diversity ☐ Session Review ☐ Main Planning Committee
What professional and/or personal experience do you have that would benefit this committee?
Click here to enter text.
What group do you identify with? Please mark all that apply.
☐ Person with lived experience of mental health challenges ☐ Person with lived experience of substance abuse
☐ Person with co-occurring disorder ☐ Family member ☐ Adult ☐ Youth/young adult ☐ Hispanic ☐ Asian ☐ African-American ☐ Native-American/Alaska Native ☐ LGBTQI ☐ Veteran ☐ Ally
☐ Other: Click here to enter text.
Your application will be scored by the Peerpocalypse 2018 team based on your detailed responses to the questions above. Please note that submission does not guarantee acceptance and that space is limited. Participation does not enroll you to the conference.
Again, thank you for your time.